On May 4, 2018, Center for Medicaid and CHIP Services (CMCS) Acting Director Timothy Hill released an Informational Bulletin calling for states to review their Medicaid and CHIP payment policies to ensure alignment with pediatric dental periodicity schedules.
On September 23, 2016, the California Legislature passed, and Governor Jerry Brown signed, Assembly Bill 72 (AB 72 or the Act), creating a new regime for the regulation of “surprise bills.”
In an increasing number of cases, courts have used Federal Rule of Civil Procedure 23(b)(2) to certify classes seeking injunctive and declaratory relief that includes, among other things, an injunction ordering the defendant to “reprocess” past claims for healthcare benefits.
The deaths caused by opioids in 2016 exceeded the total deaths in any single year from car accidents, gun violence and even HIV/AIDS at the height of that epidemic.
The free exercise clause is found in the First Amendment of the Bill of Rights and provides that “Congress shall make no law respecting an establishment of religion or prohibiting the free exercise thereof.”
The Medi-Cal program plays a critical role in California, providing health coverage for a third of all residents, including those with complex healthcare needs and significant economic and social challenges.
Throughout the spring and fall, Manatt will be presenting a new series of webinars focused on Medicaid managed care trends, issues and strategies.
For the past decade, Medicare Advantage (MA) plans added nearly 10 million members.
On April 9, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a Health & Human Services (HHS) Notice of Benefit and Payment Parameters for 2019 (final rule).
When does an insurer’s hard-core negotiation strategy cross the line and become an antitrust violation?